Chapter 4: Exam and Assessment of the Neonatal and Pediatric Patient Test Bank
MULTIPLE CHOICE 1. What measures can the therapist take to prevent heat loss and cold stress before performing
resuscitation on a preterm neonate? I. Dry the infant’s skin. II. Wrap the infant in pre-warmed blankets. III. Remove wet linens from around the infant. IV. Measure the neonate’s body temperature.a. b. I and II only c. I, II, and III only d. I, II, and IV only
IV only
ANS: C
Preventing heat loss is critical when caring for a newborn because cold stress increases oxygen consumption and impedes effective resuscitation. If possible, deliver the infant in a warm, draft-free area. Heat loss can be greatly reduced by rapidly drying the infant's skin, immediately removing wet linens, and wrapping the infant in pre-warmed blankets. REF: p. 41 2. What should the therapist do to avert injury and atelectasis, and to avoid interfering with the
infant's ability to establish adequate ventilation, while stabilizing a preterm neonate before resuscitation? I. Use a bulb syringe. II. Avoid excessive suctioning of clear fluid from the nasopharynx. III. Use a suction catheter clearing the mouth first and then the nose.IV. Suction using direct laryngoscopy. a. IV only b. I and II only c. I, II, and III only d. I, II, and IV only ANS: C
To avert injury and atelectasis, and to avoid interfering with the infant's ability to establish adequate ventilation, avoid excessive suctioning of clear fluid from the nasopharynx. REF: p. 41 3. As the head of a neonate contaminated with meconium emerges at birth, the heart rate
monitor indicates 120 beats/minute, and the physician notices that the infant has good muscle tone and a strong respiratory effort. What should the physician do at this time to provide airway care? a. Intubate the infant immediately.
